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Ankle injuries in athletes: a review of the literature

Lookup NU author(s): Oday Al-Dadah


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Ankle injuries are commonplace in the athletic population, with lateral ligament sprains accounting for the majority of them. The medial ligament complex, the distal tibiofibular syndesmosis as well as any of the bones that constitute the ankle joint can also be injured. Typical mechanisms of injury include inversion-plantar flexion and external rotation on a supinated, dorsiflexed or pronated foot. Lesions of the ankle present with similar symptoms of pain, swelling and tenderness. Therefore, a thorough history and physical examination must be obtained to make the correct diagnosis. This is especially critical for athletes as certain injuries can lead to termination of their career if not treated accurately on time. Imaging may be useful in some cases to confirm or rule out differential diagnoses. Most injuries can be managed conservatively using the Protection, Rest, Ice, Compression and Elevation protocol followed by a comprehensive rehabilitation programme. Surgery is reserved for grade III ligament tears that are refractory to initial non-operative treatment and displaced fractures that are unlikely to unite without surgical intervention. The objective of this review is to discuss the common ankle injuries encountered in the athletic population and the approaches to their diagnosis and management.

Publication metadata

Author(s): James JJ, Al-Dadah O

Publication type: Article

Publication status: Published

Journal: World Journal of Meta-Analysis

Year: 2021

Volume: 9

Issue: 2

Pages: 128-138

Print publication date: 28/04/2021

Online publication date: 28/04/2021

Acceptance date: 23/04/2021

ISSN (electronic): 2308-3840

Publisher: Baishideng Publishing Group Inc


DOI: 10.13105/wjma.v9.i2.128


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